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General NPI Number Information
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NPI Number | 1548211451
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Entity Type | Individual
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Provider Name | DAVID CHRISTOPHER JARDIN DPT, MOTR/L, MTC
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 22 PLEASANT ST STE 3A
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1506
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Country | US
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Telephone | 508-857-0389
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Fax | 508-857-2261
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Provider Business Mailing Address
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Address Line | 52 WILLOW ST
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City | STOUGHTON
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State | MA
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Zip | 02072-1027
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Country | US
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Telephone | 781-363-6462
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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